Wiki Cerumen removal

[cpccat]

My Dr.s go into Nursing Homes to do cerumen removal. If the Dr. starts the procedure and the patient will not sit for the procedure so the Dr has to stop, can I bill 69210 with a 53 mod or a 52? (99% of the time primary ins is Medicare) I use to not bill 69210 jut an E/M, but the Dr's were told they could. (you know how Dr.'s know all about coding. lol). I cannot find anything on the net regarding this. Please help. Thank you.

 

[nloguercio]

You can bill the 69210 with a mod -52..."under certain circumstances a service or procedure is partially reduced or eliminated at the physicians discretion". Just make sure there is appropriate documentation supporting as to why the service was eliminated.